Has drug use created problems between you and your spouse or your parents?

Yes No

Have you lost friends because of your use of drugs?

Yes No

Have you neglected your family because of your use of drugs?

Yes No

Have you been in trouble at work because of drug use?

Yes No

Have you lost a job because of drug use?

Yes No

Have you gotten into fights when under the influence of drugs?

Yes No

Have you engaged in illegal activities in order to obtain drugs?

Yes No

Have you been arrested for possession of illegal drugs?

Yes No

Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

Yes No

Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding, etc.)?

Yes No

Have you gone to anyone for help for a drug problem?

Yes No

Have you been involved in a treatment program specifically related to drug use?

Yes No

Submit

Disclaimer: The results of this self-test are not intended to constitute a diagnosis of drug addiction and should be used solely as a guide to understanding your drug use and the potential health issues involved with it. The information provided here cannot substitute for a full evaluation by a health professional.